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 |