| NPI | 1790026169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00088400) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 25 004768) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |