| NPI | 1770856403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: ME AC230) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 000356) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |