| NPI | 1861565749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00045200) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 003011-1) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: NY F350132-1) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-08 |