| NPI | 1417093378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL 3554) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 002439) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-16 |