| 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 |