| NPI | 1134150873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2001020192) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MO 2001020192) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2015-11-17 |