| NPI | 1841273109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101224691) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VA 0101224691) |
| 171100000X Acupuncturist (Licence: MD D0077367) | |
| 207Q00000X Family Medicine (Licence: MD D0077367) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: VA 0101224691) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MD D0077367) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: VA 0101224691) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: MD D0077367) | |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2021-09-01 |