| NPI | 1659886422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00128100) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 006066-1) |
| Enumeration Date | 2017-12-02 |
| Last Update Date | 2017-12-02 |