| NPI | 1447780861 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NC LAC1030)  | 
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP3830)  | 
| Enumeration Date | 2017-06-18 | 
| Last Update Date | 2022-01-06 |