NPI | 1770196040 |
---|---|
Former Name | MARTHA KHALSA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: ME AC686) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME 71500) |
171100000X Acupuncturist (Licence: CA 6902) | |
Enumeration Date | 2020-08-26 |
Last Update Date | 2023-09-11 |