| NPI | 1649607888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 005129) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 25-005129) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2022-02-04 |