| NPI | 1871596049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 1689) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: SC 49) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-03-26 |