| NPI | 1457550907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 309251) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 003434) |
| Enumeration Date | 2007-07-15 |
| Last Update Date | 2020-11-13 |