| NPI | 1700532173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VA 0121001149) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: TX AC02052) |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2024-04-05 |