| NPI | 1528309978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VT 091.0134014) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 004937-1) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2021-01-29 |