| NPI | 1366688020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP1914) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ NJDCATEMP-029031) |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2020-09-18 |