| NPI | 1215215140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00077800) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA AK000967) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2011-07-26 |