| NPI | 1952457608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 530336) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC806) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |