| NPI | 1083940738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173706) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VA 0121000420) |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2016-08-02 |