| NPI | 1497973812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD LL00375) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WV 96164) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |