| NPI | 1003236621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP3409) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 005258) |
| 171100000X Acupuncturist (Licence: NJ 25MZ00105300) | |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-10-08 |