| NPI | 1568503001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 005095) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP 3224) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2013-07-25 |