| NPI | 1740762541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ LAC-010071) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IL 198-001434) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2019-12-12 |