| NPI | 1487707352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 26686) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: KY 26686) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2013-03-29 |