| NPI | 1912473323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TX AC01707) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 775146) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |