| NPI | 1164685178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CT 000455) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 003812) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2009-02-23 |