| NPI | 1043379001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13531) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC-30127) |
| 171100000X Acupuncturist (Licence: CA AC 11592) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-06-10 |