| NPI | 1457575193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TX AC00214) |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: TX AC00214) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |