| NPI | 1730317538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CT 000576) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 12069) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2020-06-09 |