| NPI | 1790166262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 005010-1) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: VT 099.0110592) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2016-03-02 |