| NPI | 1376749473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA 116657) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MA 373) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2007-07-08 |