| NPI | 1811442833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 18908) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 005797) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2020-08-09 |