| NPI | 1811085947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD UO1351) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VA 0121000349) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2013-08-14 |