| NPI | 1053886457 |
|---|---|
| Other Name | STEPHANIE M KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ LAC-000731) |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |