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 |