| NPI | 1629412887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VA 0121000650) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U01904) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |