| NPI | 1629490404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VT 091.0134029) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MN 1388) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2022-08-25 |