| NPI | 1134553274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 25005059) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 018323) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |