| NPI | 1457555153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD 717) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VA 35) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2007-07-08 |