| NPI | 1710120936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CO 1680) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 12895) |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2019-12-10 |