| NPI | 1477035806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 006278) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 031326) |
| Enumeration Date | 2018-09-01 |
| Last Update Date | 2020-10-28 |