| NPI | 1164849410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 005093-1) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 5093) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2020-11-16 |