| NPI | 1861273922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ LAC-012180) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OH 65.000434) |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2024-08-10 |