| NPI | 1578805024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: ME AC357) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NH 137) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2015-05-22 |