| NPI | 1104589902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: PA AK001358) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 006978) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2021-10-19 |