| NPI | 1063170975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 4543) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: SC 423) |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2024-06-12 |