| NPI | 1730241134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR 875) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 864) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2012-03-27 |