| NPI | 1639263551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95024597) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA ac 10060) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-04-04 |