| NPI | 1609531573 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00157100) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CT 702) |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2022-02-17 |