| NPI | 1881666774 |
|---|---|
| Former Name | MIKI TANAKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 202D00000X Integrative Medicine (Licence: CA A80786) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A80786) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2025-01-30 |