| NPI | 1407194657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VT 091.0087912) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 004862) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-01-23 |