| NPI | 1700123809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC160521) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC60322012) |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |