| NPI | 1891231668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 17383) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: CA 17838) |
| 171000000X Military Health Care Provider (Licence: CA 17383) | |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2020-08-25 |