| NPI | 1518312362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR 195134) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR DO195134) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2021-11-17 |