| NPI | 1487002713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC 60354712) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MI 5401000102) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |