| NPI | 1558764761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC17663) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC169566) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2019-03-27 |