| NPI | 1124386842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA 104785370) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC14697) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2025-07-11 |