| NPI | 1548565807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP2890) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 11519) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |