| NPI | 1891146510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID 61516) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: ID 339) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2025-01-13 |