| NPI | 1689813149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 006569) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: GA 000240) |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2009-03-08 |