| NPI | 1508291121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198000063) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WI 18255) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-09-13 |