| NPI | 1093951477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 17454) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PR 804) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2019-12-09 |