| NPI | 1184743569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 1287252) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP 667) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |