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 |