| NPI | 1952563140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD 03616) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U01771) |
| Enumeration Date | 2008-06-28 |
| Last Update Date | 2024-07-12 |