| NPI | 1922307487 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60152185) | 
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 004321) | 
| Enumeration Date | 2011-03-23 | 
| Last Update Date | 2011-03-23 |