| NPI | 1457611477 |
|---|---|
| Former Name | MARA S KEVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL 4079) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC158039) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2023-07-19 |