| NPI | 1629385760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC150500) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 2466) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2010-09-10 |