| NPI | 1417286204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC 60264876) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MA 234403) |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2015-02-19 |