| NPI | 1033175245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 2221) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NC 591) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-04-10 |