| NPI | 1184043572 |
|---|---|
| Former Name | JACQUELYN R MCDONALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 005208-1) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 25 005208) |
| 225700000X Massage Therapist (Licence: NY 019298-1) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2023-09-13 |