| NPI | 1457389041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0000X (Licence: CA A67133) |
| Additional Taxonomies | 171100000X Acupuncturist |
| 207L00000X Anesthesiology (Licence: CA A67133) | |
| 207Q00000X Family Medicine (Licence: TX P1462) | |
| 208VP0000X (Licence: TX P1462) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2018-09-18 |