| NPI | 1295951358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 044313) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 003131) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2021-08-31 |