| NPI | 1821796822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 030453) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 007368) |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-07-17 |