| NPI | 1760858443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MN 1768) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WI 55-830) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2020-12-05 |