| NPI | 1073646238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 001644) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CT 000494) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2009-12-14 |