NPI | 1144395666 |
---|---|
Former Name | EUNAE GRACE KIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: GA 369) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 10208) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2022-07-21 |