| NPI | 1871779330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 336337) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 003578) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2010-10-25 |