| NPI | 1669567913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MN 1269) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WI 370-055) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-11-01 |