| NPI | 1467545053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 140272-0) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MN 1375) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2015-08-19 |