| NPI | 1902280761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VT 091.0110149) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 005299-1) |
| Enumeration Date | 2015-07-11 |
| Last Update Date | 2018-05-25 |