| NPI | 1548514821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00087800) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 004070) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |