| NPI | 1750785218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: ME AC428) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NH 209) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |