| NPI | 1538203500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 13445) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CO 717) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2015-01-21 |