| NPI | 1992807101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP9338) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 10751) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2022-01-18 |