| NPI | 1588616940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ LAC-012155) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC00793) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2024-07-11 |