| NPI | 1881756567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC00002885) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 727) |
| 171100000X Acupuncturist (Licence: FL AP1949) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-07-08 |