| NPI | 1720129471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: GA 152) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U00705) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2017-03-22 |