| NPI | 1558543181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC00002657) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WY 17) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2023-10-22 |