NPI | 1215372925 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: VT 091.0097370) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 15044) |
Enumeration Date | 2013-05-08 |
Last Update Date | 2020-12-14 |