| NPI | 1932477452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F344092) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 004478) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2020-10-24 |