| NPI | 1255973939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 006974) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 021089) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2021-07-05 |