NPI | 1740809821 |
---|---|
Former Name | CORRINE POPP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CO acu.0002603) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 006731-01) |
Enumeration Date | 2020-04-09 |
Last Update Date | 2022-12-15 |