| NPI | 1770985202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WY 027) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 005403-1) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2019-05-20 |