| NPI | 1063882744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 004011) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00078400) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |