| NPI | 1922251990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP1774) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME49757) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |