| NPI | 1568982387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 006362) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 013106) |
| 171100000X Acupuncturist (Licence: PA AK001231) | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2023-03-05 |