| NPI | 1699106096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MDR6909) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA A9248) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2015-07-17 |