| NPI | 1487909420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OH 65.000161) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: KY AC044) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2017-04-10 |