| NPI | 1700212404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC61104896) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 005164) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2023-03-13 |