| NPI | 1609003458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA 60285477) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA 60511482) |
| 208000000X Pediatrics (Licence: OR 177192) | |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2022-02-04 |