| NPI | 1245219526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MA 261373) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN146297) |
| 363L00000X Nurse Practitioner (Licence: CT 991) | |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2020-05-21 |