| NPI | 1710251004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 3448) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: GA 225) |
| Enumeration Date | 2012-03-04 |
| Last Update Date | 2023-08-15 |