| NPI | 1225607401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00152900) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA AK001260) |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2021-06-22 |