| NPI | 1629300348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 8255186-1202) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NM 2019) |
| 171100000X Acupuncturist (Licence: UT 8255186-1201) | |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2014-02-27 |