| NPI | 1780925628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TX AC01394) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 1084) |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2013-09-16 |