| NPI | 1235742156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 006571-01) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 032199-01) |
| Enumeration Date | 2020-08-29 |
| Last Update Date | 2020-08-29 |