| NPI | 1982982914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ 0843) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 1052) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2013-01-08 |