| NPI | 1114502796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: 006783-01) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 025061-01) |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2025-05-19 |