| NPI | 1649359191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VA 0121000487) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U01126) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2009-03-19 |