| NPI | 1801260005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NM 1184) |
| Additional Taxonomies | 207QS0010X Family Medicine Sports Medicine (Licence: NM 1184) |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2015-11-25 |