| NPI | 1972752772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP2405) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC600023290) |
| 171100000X Acupuncturist (Licence: WA 600023290) | |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2009-12-29 |