| NPI | 1316198070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104000505) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VA 0104000505) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |