| NPI | 1134474893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 55557) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 13250) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2020-07-31 |