| NPI | 1821694936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MN 1955) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WY 37) |
| Enumeration Date | 2020-12-05 |
| Last Update Date | 2022-04-29 |