| NPI | 1053553115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F300280) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 000885) |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2009-04-03 |