| NPI | 1437414893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 004801-1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 27020669) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |