| 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 |