| NPI | 1487980637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 004237) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 022924) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2011-04-26 |