| NPI | 1902457740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 007323) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 040084) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2025-06-07 |