NPI | 1619067923 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: GA 000171) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP2136) |
Enumeration Date | 2006-10-15 |
Last Update Date | 2011-06-10 |