| NPI | 1346760402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 007328) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 041416) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2023-05-01 |