| NPI | 1871994699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 005411-1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 024395) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2015-08-25 |