NPI | 1992035745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95246710) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC12796) |
Enumeration Date | 2009-12-29 |
Last Update Date | 2021-08-25 |