| NPI | 1447599972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95026437) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 15047) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2023-09-29 |