| NPI | 1144347550 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 002027-1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 010956-1) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |