| NPI | 1124084173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 14988) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PR 14988) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2012-10-16 |