| NPI | 1205899366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U01112) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD COOO523) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2007-07-08 |