| NPI | 1821307919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 006566) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC13789) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2019-12-04 |