| NPI | 1770677262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U00623) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: DC AC30026) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |