| NPI | 1780003350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA CA15953) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA CA15953) |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: CA CA15953) | |
| 261QP2300X Clinic/Center, Primary Care (Licence: CA CA15953) | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2020-06-26 |