| NPI | 1285867259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024169462) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VA 0121000640) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2017-03-20 |