| NPI | 1699078485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MA 250689) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 4429) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2013-02-26 |