| NPI | 1518417971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 00019766) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00122100) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2023-08-31 |