| NPI | 1083992358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 004614) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 022484) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |