| NPI | 1720123011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CT 000303) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 001383) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |