| NPI | 1720471279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MS AC00011) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: VT 099.0101129) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |