| NPI | 1699130047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 25 005230) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: NY 27 019967) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |