| NPI | 1184168155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 349871) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 005822-1) |
| Enumeration Date | 2016-12-11 |
| Last Update Date | 2022-10-12 |