| NPI | 1710259585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TX AC01747) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX MT114474) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2017-02-06 |