| NPI | 1497877294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9185949) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP 2186) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2013-10-13 |