| NPI | 1962538991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD27703) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00044498) |
| 171100000X Acupuncturist (Licence: OR MD27703) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2014-04-18 |