| NPI | 1790049088 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC 14881)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 496243)  | 
| Enumeration Date | 2012-07-02 | 
| Last Update Date | 2012-07-02 |