| NPI | 1215765854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AR 12407) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AR 12407) |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-09-17 |