| NPI | 1629391487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U02940) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 006463) |
| 183500000X Pharmacist (Licence: NY 053344) | |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2024-10-08 |