| NPI | 1740650126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 25 005146) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 25005146) |
| 171100000X Acupuncturist (Licence: NY 005146-01) | |
| 225700000X Massage Therapist (Licence: NY 27 025664) | |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2022-11-01 |