| NPI | 1104379577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 005838-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 012911) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2017-03-02 |