| NPI | 1871055327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 006484-1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 030977-1) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |