| NPI | 1659773794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60449157) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 14563) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |