| NPI | 1568644300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 30304739) |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2019-05-30 |