| NPI | 1356827901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00153600) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NJ 18KT00777900) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2021-10-13 |