| NPI | 1356833636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VA 0121) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 005711) |
| Enumeration Date | 2018-06-03 |
| Last Update Date | 2018-06-03 |