| NPI | 1952953440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 00656101) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00139300) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2020-02-24 |