| NPI | 1457669749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP2891) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NC 614) |
| 171100000X Acupuncturist (Licence: VA 0121-000619) | |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2013-04-02 |