| NPI | 1992152003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ LAC-011371) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA OM000212) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2024-07-30 |