| NPI | 1013159227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 31200) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 14160) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2011-04-05 |