NPI | 1801673827 |
---|---|
Other Name | GRACE BANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: VA 0121001123) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U02937) |
Enumeration Date | 2023-09-12 |
Last Update Date | 2023-11-24 |