| NPI | 1356402853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U00953) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C01451) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2021-07-02 |