NPI | 1407905219 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00042000) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO06528700) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2013-07-18 |