| NPI | 1649489915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ 127775) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 187235) |
| 171100000X Acupuncturist (Licence: AZ 0384) | |
| 171100000X Acupuncturist (Licence: MA 211068) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2009-06-11 |