| NPI | 1043519754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 25 004557) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 27 019417) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2024-02-07 |