| NPI | 1154603769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 1498) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CT 498) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2018-04-10 |