| NPI | 1790333193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC61587924) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CO ACU.0002740) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2024-11-02 |