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 |