| NPI | 1811447576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U02340) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WV 96235) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |