| NPI | 1639429061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: GA 570) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AZ 0807) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2025-03-05 |