| NPI | 1477571842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 15751) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PR 15751) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2008-04-29 |