| NPI | 1356658157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 004118) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA KO000633) |
| 171100000X Acupuncturist (Licence: NJ 25MZ00075300) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP017446) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00719100) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F341215) | |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2019-01-11 |