| NPI | 1992002554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: ME AC361) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 3797) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-02-17 |