| NPI | 1588925077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MA 253925) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NH 205) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2017-02-15 |