| NPI | 1659568756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: OR 10489) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR 164966) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2014-06-19 |