| NPI | 1972933901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60482530) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 15347) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2014-10-01 |