NPI | 1023239563 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 562529) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R040445) |
171100000X Acupuncturist (Licence: CA 8799) | |
171100000X Acupuncturist (Licence: MD LL00191) | |
Enumeration Date | 2007-05-01 |
Last Update Date | 2007-07-08 |