| NPI | 1750967188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 006904-01) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 026284-01) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2021-03-24 |