| NPI | 1740607274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 15058) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: GA 316) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2015-09-29 |