| NPI | 1962951699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00120800) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 005721) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2017-11-23 |