| NPI | 1669747077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC140954) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 1073) |
| 171100000X Acupuncturist (Licence: WA AC 60231732) | |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-19 |