NPI | 1972788693 |
---|---|
Former Name | JUNG SUN RO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: VA 0121000533) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 11413) |
Enumeration Date | 2007-12-31 |
Last Update Date | 2009-09-27 |