| NPI | 1417061003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC01287) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: TX AC00260) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2012-10-18 |