| NPI | 1154626547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00074200) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 004301-1) |
| Enumeration Date | 2011-01-17 |
| Last Update Date | 2020-02-20 |