| NPI | 1801134036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 14568) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MN 1642) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2018-08-10 |