| NPI | 1427457340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 005328) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 022719) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2016-02-04 |