NPI | 1952649048 |
---|---|
Former Name | ELIZABETH MICHELLE FOLK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 25005149) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 00514901) |
225700000X Massage Therapist (Licence: NY 27027004) | |
Enumeration Date | 2013-01-23 |
Last Update Date | 2020-12-30 |