| NPI | 1205227543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 25-005410) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 025842-01) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2026-07-29 |