| NPI | 1366967333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 006587) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: GA 388) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2021-08-04 |