| 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 |