| NPI | 1124302047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 004601) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 018691) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2012-10-01 |