| NPI | 1134165954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101046056) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VA 0101046056) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2010-01-27 |