| NPI | 1578155057 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 171100000X Acupuncturist (Licence: ID ACU-459)  | 
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 18203)  | 
| Enumeration Date | 2021-02-06 | 
| Last Update Date | 2023-10-19 |