| NPI | 1639201643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001096201) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U00346) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |