| NPI | 1538572995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 005298-1) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00106800) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |