| NPI | 1982286027 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TX AC01793)  | 
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC14312)  | 
| Enumeration Date | 2021-04-27 | 
| Last Update Date | 2021-04-27 |