| NPI | 1619067923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: GA 000171) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP2136) |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2011-06-10 |