| NPI | 1972374031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: SC 395) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 5320) |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-09 |