| NPI | 1396770624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SD 1074) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: SD 1074) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2009-02-10 |