NPI | 1033328554 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 30307) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 12255) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2017-03-30 |