| NPI | 1457618324 |
|---|---|
| Former Name | SURRENA LOVELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 14730) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA 29230) |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2012-08-24 |