| NPI | 1306254990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 005650) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 025341) |
| Enumeration Date | 2014-07-27 |
| Last Update Date | 2015-09-19 |