| NPI | 1811945421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA3079) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP2177) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2012-05-01 |