| NPI | 1770626533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MI 5402000115) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301002260) |
| 171100000X Acupuncturist (Licence: MI 5401000048) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2022-05-19 |