| NPI | 1962970186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NC LAC-2154) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 006400) |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2023-02-07 |