| NPI | 1639580749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 1140) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2023-07-30 |