| NPI | 1780210401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MO 2022047968) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 006580) |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2023-01-03 |