| NPI | 1861154247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 007036) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 031666) |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2021-12-30 |