| NPI | 1760955876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA 61181491) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 18281) |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2022-11-02 |