| NPI | 1497159438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 25005357) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 027430) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2018-04-17 |