| NPI | 1629255021 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC 12657)  | 
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CO 1301)  | 
| 171100000X Acupuncturist (Licence: AZ LAC012251)  | |
| Enumeration Date | 2008-01-28 | 
| Last Update Date | 2025-05-08 |