| NPI | 1639299589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WI 651-55) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 6221) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2013-11-07 |