| NPI | 1750624128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00098300) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 005031) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-08-13 |