| NPI | 1982903704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 25003696) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 10296755) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2015-02-23 |