| NPI | 1770208449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CT 882) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 18567) |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2025-11-22 |