| NPI | 1740585991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 004356-1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 024261-1) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-01-20 |