| NPI | 1134636525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP3903) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 006145-1) |
| Enumeration Date | 2018-01-07 |
| Last Update Date | 2018-04-16 |