| NPI | 1619386307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL AP3504) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL AP3504) |
| 171100000X Acupuncturist (Licence: FL AP3504) | |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2020-03-24 |