| NPI | 1528200888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC 11301) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 39501) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2013-01-11 |