| NPI | 1720231319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ 1015) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 16626) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2016-02-04 |