| NPI | 1396764056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 16028) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PR 16028) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: PR 16028) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-04-30 |