| NPI | 1770114811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NC 699) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NC 699) |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2024-09-19 |