NPI | 1740476787 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: GA 042184) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: GA 042184) |
174400000X Specialist (Licence: GA 042184) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: GA 042184) | |
Enumeration Date | 2007-09-24 |
Last Update Date | 2014-01-15 |