| NPI | 1750855532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MT 34680) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CO 0002234) |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2023-10-26 |