| NPI | 1558607549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NM 894) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: 11046558) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |