| NPI | 1780044198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 005634) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 027892) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2020-10-18 |