| NPI | 1619151396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MA 132) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MA 503) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2012-09-24 |