| NPI | 1255742631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01045921A) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IN 01045921A) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2020-10-29 |