| NPI | 1770622888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA 2526) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NH 60) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-06-04 |