| NPI | 1386256451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 06801) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 0178481) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |