NPI | 1528505922 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ LAC-010140) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 121581-0) |
163W00000X Registered Nurse (Licence: AZ 239494) | |
171100000X Acupuncturist (Licence: MN 1834) | |
Enumeration Date | 2017-01-23 |
Last Update Date | 2020-10-30 |