| NPI | 1316300775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 005697) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 019484) |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2016-04-03 |