| NPI | 1164853503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 003092-1) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 274794-1) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-11 |