| NPI | 1902119688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2268880) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MA 236061) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2013-01-11 |