| NPI | 1083791065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 18665) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038008478) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2019-09-18 |