| NPI | 1649530759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VA 0121000662) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U01894) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |