| NPI | 1063646859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172P00000X Naprapath (Licence: MA 6510) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MA 429) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2009-05-07 |