| NPI | 1124305404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00085400) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA OM000138) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2014-06-17 |