| NPI | 1487806634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006428) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: KY AC004) |
| 171100000X Acupuncturist (Licence: KY AC004/724) | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2011-11-01 |