| NPI | 1083669410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 096000382N1) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC150310) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2013-12-12 |