| NPI | 1861021784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 33679) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NH 33679) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: 64272) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: ME EC221041) | |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2024-09-11 |