| NPI | 1639624505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: PA #AK001043) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00055900) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |