| NPI | 1083881072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 000446) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CT 105) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2016-10-14 |