| NPI | 1356405062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 5890) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MO 5890) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-08-09 |