| NPI | 1568474427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA C50090) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 00C50091) |
| 208VP0000X (Licence: CA 00C50091) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2009-03-03 |