| NPI | 1497032387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 14562) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC60248749) |
| 171100000X Acupuncturist (Licence: PA KO000657) | |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2013-09-04 |