| NPI | 1164924551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 006183-1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 024232-1) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |