| NPI | 1952788986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 227.016997) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IL 198.001339) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2016-10-17 |