NPI | 1861991408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R199094) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U03034) |
Enumeration Date | 2018-02-09 |
Last Update Date | 2025-05-19 |