| NPI | 1497293310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: SC ACUP285) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 1141) |
| Enumeration Date | 2017-02-11 |
| Last Update Date | 2018-01-17 |