| NPI | 1790175503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL 3503) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: GA 000140) |
| Enumeration Date | 2015-01-31 |
| Last Update Date | 2017-02-14 |