| NPI | 1952553745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CO ACU-1427) |
| 171100000X Acupuncturist (Licence: CA 12652) | |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2018-05-18 |