| NPI | 1467518159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11042941) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP1999) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2026-01-12 |