| NPI | 1538360672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 004476) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X007780) |
| 111NN1001X Chiropractor, Nutrition (Licence: NY X007780) | |
| 171100000X Acupuncturist (Licence: CT 580) | |
| 111NN1001X Chiropractor, Nutrition (Licence: AZ 5850) | |
| 171100000X Acupuncturist (Licence: AZ 357) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2014-03-13 |