| NPI | 1386879203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: OH 34.01731) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 004010) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 58.033263) | |
| 171100000X Acupuncturist (Licence: NJ 25MZ00067000) | |
| 208600000X Surgery (Licence: NY 339052) | |
| 208600000X Surgery (Licence: PA OT018517) | |
| 171100000X Acupuncturist (Licence: PA KO000664) | |
| 171100000X Acupuncturist (Licence: SC 235) | |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2025-09-07 |