| NPI | 1982939393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP3112) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MN 1492) |
| Enumeration Date | 2009-10-03 |
| Last Update Date | 2012-06-07 |