| NPI | 1437701117 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 0006425) | 
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 024733) | 
| Enumeration Date | 2019-07-12 | 
| Last Update Date | 2019-07-12 |