| NPI | 1124380423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: DC AC500124) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 004095) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |