| NPI | 1194854596 |
|---|---|
| Former Name | EUNJIN SONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 1407) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00023800) |
| 171100000X Acupuncturist (Licence: VA 0121000158) | |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2007-07-08 |