| NPI | 1598155368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NM DOM1141) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 1142) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2021-01-20 |