| NPI | 1538575006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 16138) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AZ LAC-010168) |
| Enumeration Date | 2014-07-06 |
| Last Update Date | 2021-07-14 |