| NPI | 1790140051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IA A-94) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MN 1851) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2020-09-21 |