| NPI | 1912106287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 800) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP 0001036) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-07-16 |