| NPI | 1619996675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP2972) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038005553) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2019-11-12 |