| NPI | 1861596074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC153140) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: TX AC00534) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2011-03-02 |