| NPI | 1962469692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NC 2005LAC) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP1416) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2023-03-07 |