| NPI | 1790016806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ 0710) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: TX AC01171) |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2010-01-29 |