| NPI | 1376918854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 005601) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2023-06-28 |