| NPI | 1285893958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD162430) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR MD162430) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2014-05-05 |