| NPI | 1700194412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 4119) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NC 590) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2011-02-06 |