| NPI | 1124188982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 14616) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PR 580) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2018-11-26 |