| NPI | 1619162047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC 13907) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA AK000884) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2011-09-20 |