| NPI | 1396181319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: GA 323) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 5001) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-05-16 |