| NPI | 1609977172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NM R34408) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 469214) |
| 171100000X Acupuncturist (Licence: NM 876) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |