| NPI | 1508332735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ LAC-012265) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC17840) |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2026-02-11 |