| NPI | 1730760554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 007539) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 010320) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2024-06-28 |