| NPI | 1407114242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AK AK-24) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AK NCCAOM #3568) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |