| NPI | 1194124511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00098800) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 004880) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |