| NPI | 1023563046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 007498) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 009048) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2025-02-11 |