| NPI | 1639327190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 3728) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 6834) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2016-01-04 |