NPI | 1982631024 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 603976) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 6912) |
171100000X Acupuncturist (Licence: NY 002313) | |
Enumeration Date | 2006-06-26 |
Last Update Date | 2016-12-05 |