| NPI | 1386701944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 1118) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: LA 1878) |
| 111N00000X Chiropractor (Licence: LA 1437) | |
| 111NR0400X (Licence: LA 1437) | |
| 111NR0400X (Licence: MS 000118) | |
| 171100000X Acupuncturist (Licence: MS AC0003) | |
| 171100000X Acupuncturist (Licence: TX AC00720) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2023-05-15 |