| NPI | 1689894875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CO ACU.0002223) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 086630) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2021-11-15 |