| NPI | 1194883330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD18470) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC01190) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2009-11-20 |