| NPI | 1497995567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 1418) |
| Additional Taxonomies | 225700000X Massage Therapist |
| 171100000X Acupuncturist (Licence: FL Ap2503) | |
| 172M00000X Mechanotherapist (Licence: FL 52483) | |
| 172M00000X Mechanotherapist (Licence: NY 011658) | |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2014-07-17 |