| NPI | 1952871410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA 61266477) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NC 1005) |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2022-03-16 |