| NPI | 1811102726 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VA 0121000430)  | 
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP1903)  | 
| Enumeration Date | 2007-05-14 | 
| Last Update Date | 2011-07-15 |