| NPI | 1548292675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA20212) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC7504) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2013-03-27 |