| NPI | 1952897175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MT 127540) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 006314) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2023-12-20 |