NPI | 1033296033 |
---|---|
Former Name | AMY KRISTINE MOLL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC01012) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP3734) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2019-09-18 |