| NPI | 1164025052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11029781) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP4206) |
| Enumeration Date | 2020-11-21 |
| Last Update Date | 2024-01-03 |