| NPI | 1104903210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD064090L) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA PAK000014) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-08-11 |