| NPI | 1093903585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC18986) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC10732) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |