| NPI | 1760659023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP722) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL MA12153) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |