| NPI | 1992859466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NY 005158) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 003304) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2012-05-11 |