| NPI | 1104667740 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NH 356) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VT 091.0134095) |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-06-06 |