| NPI | 1114560307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00141900) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA OM000267) |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2020-02-14 |