| NPI | 1962789479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U1023) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VA 012000167) |
| Enumeration Date | 2011-11-11 |
| Last Update Date | 2011-11-11 |