| NPI | 1649483918 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 000981) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00031600) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2009-11-09 |