| NPI | 1972913234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ 0780) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 1020) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |