| NPI | 1407274681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 15529) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AZ 0907) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |