| NPI | 1508126798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 004670) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00089600) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2016-03-07 |