| NPI | 1417205592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VA 0121000284) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U01242) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |