| NPI | 1427217835 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 003398) | 
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 014159) | 
| Enumeration Date | 2008-06-02 | 
| Last Update Date | 2022-10-10 |