| NPI | 1710156724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S03750) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA 009359) |
| 171100000X Acupuncturist (Licence: PA om000042) | |
| 171100000X Acupuncturist (Licence: MD U02035) | |
| Enumeration Date | 2008-02-23 |
| Last Update Date | 2014-09-09 |