| NPI | 1912405929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 006073) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 025192) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-02-06 |