| NPI | 1053304592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: PA MD069667L) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD069667) |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2007-07-08 |