| NPI | 1457758062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VA 0121000797) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA AK001124) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2022-04-19 |