| NPI | 1750995502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 18812) |
| Additional Taxonomies | 2083S0010X Preventive Medicine Sports Medicine (Licence: CA 18812) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |