| NPI | 1356300685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VA 0121000767) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024150644) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN64493) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2015-02-24 |