| NPI | 1295877256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C0000699) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U02416) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2022-07-21 |