| NPI | 1548565484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 006988) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 23851) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2021-07-29 |