| NPI | 1902936529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO CE5288) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MO CE5288) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2010-12-06 |