| NPI | 1700436201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 006610-01) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 19173) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2024-01-26 |