| NPI | 1326893637 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: DE CT-0010014) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00159500) |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-04-19 |