| NPI | 1700916368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CO 259) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MT 60) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |