| NPI | 1346306867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AL 14402) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AL 14402) |
| 207Q00000X Family Medicine (Licence: AL 14402) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-05-29 |