| NPI | 1467025569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 02203) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CT 807) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2021-10-13 |