| NPI | 1851520951 |
|---|---|
| Former Name | AUDREY MARIA WAGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CO 1362) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2024-06-04 |