| NPI | 1639646748 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 006319) | 
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP3959) | 
| Enumeration Date | 2018-10-26 | 
| Last Update Date | 2022-05-25 |