| NPI | 1982756730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D51224) |
| Additional Taxonomies | 171100000X Acupuncturist |
| 208000000X Pediatrics (Licence: MD D51224) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MD D51224) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2014-03-12 |