| NPI | 1104024629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 003262) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA AK000853) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2007-07-08 |