| NPI | 1275832073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR PG215984) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR ac153161) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2023-06-29 |