| NPI | 1811404130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 005705-1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 020384-01) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2025-11-13 |