| NPI | 1780059543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VT 091-0000171) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NH 105) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2015-12-04 |