| NPI | 1578830204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CO ACU.0002007) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: TX AC01162) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2014-09-23 |