| NPI | 1790124998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP3111) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 004733-1) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2020-02-21 |