| NPI | 1316304066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 16269) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NCCAOM 156534) |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CA 16269) | |
| 207K00000X Allergy & Immunology (Licence: CA 16269) | |
| 207Q00000X Family Medicine (Licence: CA 16269) | |
| 207R00000X Internal Medicine (Licence: CA 16269) | |
| 207RS0010X Internal Medicine, Sports Medicine (Licence: CA 16269) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA 16269) | |
| 208D00000X General Practice (Licence: CA 16269) | |
| 208VP0000X (Licence: CA 16269) | |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |