NPI | 1649444191 |
---|---|
Former Name | KRISHNA KARIANN BADER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198000612) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC01299) |
Enumeration Date | 2008-04-16 |
Last Update Date | 2016-11-14 |