| NPI | 1538431275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 005430) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: NY 025155-1) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2015-08-03 |