| NPI | 1134492135 |
|---|---|
| Former Name | JENNIFER BURNS GONNELLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VA 0121000792) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP3079) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2016-08-26 |