| NPI | 1629059266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 036220-23-03) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NH ACP 189) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2015-10-21 |