| NPI | 1578085767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 006002-1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 48487) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2022-07-21 |