| NPI | 1760965826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00156200) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 006374) |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2021-12-29 |