| NPI | 1902965999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: PA OM000010) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 587) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2010-08-25 |