| NPI | 1578805362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 003744) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 029405) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2019-06-24 |