| NPI | 1649669870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 005477-1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 033267) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2023-04-25 |