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 |