| NPI | 1790165223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MA 265636) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 16189) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2019-02-05 |