| NPI | 1801081955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: HI MAT-8291) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 17102) |
| 171100000X Acupuncturist (Licence: HI ACU 1080) | |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2016-09-30 |