NPI | 1114497591 |
---|---|
Former Name | XIAOSHAN DAI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 050364) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 006385) |
Enumeration Date | 2018-11-28 |
Last Update Date | 2023-12-06 |