| NPI | 1962761635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CT 000392) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 002377) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-05-15 |