| NPI | 1740587104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TX AC01524) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CO 1628) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2022-01-10 |