| NPI | 1972861029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 004593) |
| Additional Taxonomies | 225700000X Massage Therapist |
| 171100000X Acupuncturist (Licence: FL AP3513) | |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2015-09-23 |