| NPI | 1518338474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00115700) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA AK001162) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-11-11 |