| NPI | 1912990979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX J1155) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX J1155) |
| 171100000X Acupuncturist (Licence: TX AC01622) | |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2015-11-06 |