| NPI | 1629071659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD059458L) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA PAK000196) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2018-12-12 |