| NPI | 1003081787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60332127) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382057) |
| 171100000X Acupuncturist (Licence: NY 004405) | |
| 171100000X Acupuncturist (Licence: WA AC60340418) | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2013-07-23 |