| NPI | 1154078707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 007044-01) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00158200) |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2022-03-03 |