| NPI | 1225369457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 004143) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U02044) |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2013-03-18 |