| NPI | 1548714082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP3345) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CO ACU.0001948) |
| Enumeration Date | 2016-08-13 |
| Last Update Date | 2018-10-02 |