| NPI | 1902075351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 003347) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MA 221010) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2009-06-10 |