| NPI | 1841740560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA 6065608) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR 179792) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |