| NPI | 1790974400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 0034641) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00054300) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2009-01-02 |