| NPI | 1518256320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ 0830) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 004425) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2022-05-31 |