| NPI | 1891840310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 093006358N1) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR 156530) |
| 171100000X Acupuncturist (Licence: WA AC60404698) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60403410) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2021-11-15 |