| NPI | 1669610929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 004966) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 27008500) |
| Enumeration Date | 2009-01-25 |
| Last Update Date | 2021-07-28 |