| NPI | 1578805925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 005507) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 565763) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2015-05-06 |