| NPI | 1780073130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC16510) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 54992) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2017-01-11 |