| NPI | 1538519145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TX AC01243) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX MT118328) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2020-04-17 |