| NPI | 1750526992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F3459) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 003968-1) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 300459) | |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2015-01-30 |