| NPI | 1720536998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U02349) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VA 0121001271) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2026-06-02 |