| NPI | 1861562902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 006409) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 0023971) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2018-11-07 |