NPI | 1508096801 |
---|---|
Former Name | ELIZABETH DIANE HUDLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC00911) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: OR 00911) |
Enumeration Date | 2009-07-21 |
Last Update Date | 2012-02-14 |