| NPI | 1891010708 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CO 1093) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC00001977) |
| Enumeration Date | 2010-04-03 |
| Last Update Date | 2010-04-03 |