| NPI | 1972078210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: PA AK001275) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC011376) |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2022-03-17 |