| NPI | 1477596013 |
|---|---|
| Former Name | XIU-JUAN ZHEN TAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U01443) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: DC AC500023) |
| 171100000X Acupuncturist (Licence: VA 0121000399) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-07-08 |