| NPI | 1700103546 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC150754) | 
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC60134759) | 
| Enumeration Date | 2010-05-03 | 
| Last Update Date | 2010-05-03 |