| NPI | 1700207719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA ac60338512) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VT 091.0045903) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |