| NPI | 1730196304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G072335) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA G072335) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2023-06-15 |