| NPI | 1659689057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: DC AC500135) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U01842) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2014-09-15 |