| NPI | 1548615578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TX AC01633) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC12644) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |