| NPI | 1285940213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F305363) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 3772) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2010-11-03 |