| NPI | 1164509097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A79478) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA A79478) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A79478) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2024-09-19 |