| NPI | 1972805778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC 60122573) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MT MED-ACU-LIC-14656) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2012-03-15 |