| NPI | 1255760682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 003125-1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 022678-1) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2018-06-20 |