| NPI | 1154727626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00112600) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 005423) |
| 225700000X Massage Therapist (Licence: NJ 18KT00165200) | |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2016-05-03 |