NPI | 1497968358 |
---|---|
Former Name | ALICE C GANSECKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: ME AC120) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: NH ACP001) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2007-07-08 |