| NPI | 1245565142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 001015-1) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CT 000129) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2009-10-09 |