| NPI | 1942514757 |
|---|---|
| Former Name | EMILY AUSTIN ODLUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: PA AK001044) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VT 091.0065814) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2014-06-10 |