NPI | 1457474116 |
---|---|
Former Name | JESSIKA CONDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 002989-1) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CO 0002119) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2024-12-12 |