| NPI | 1619219045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VA 0121000717) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U02047) |
| Enumeration Date | 2013-03-24 |
| Last Update Date | 2019-09-20 |