| NPI | 1407282767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00102000) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 005113-1) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2015-06-17 |