| NPI | 1730440595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MO 2012033137) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 1069) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2016-08-16 |