| NPI | 1730859380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 007099-1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 031385-01) |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2024-05-05 |