| NPI | 1639138928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00044400) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 003179) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2009-04-17 |