| NPI | 1275651275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2001011183) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MO 2001011183) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2015-01-16 |