| NPI | 1801286786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VA 0121000170) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U02247) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-07-21 |