| NPI | 1558587766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200950058np) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC140942) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-07 |