| NPI | 1770945800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 000751-1) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 005437-1) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-28 |