| NPI | 1861782617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9251547) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP4135) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP123592) | |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2023-05-24 |