| NPI | 1407153307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC 60522136) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: UT 8559081-1201) |
| Enumeration Date | 2011-02-12 |
| Last Update Date | 2015-07-03 |