| NPI | 1639343767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ MZ00047100) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 003180-1) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2017-05-09 |