| NPI | 1124322144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH60200000) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC31710) |
| 171100000X Acupuncturist (Licence: WA AC60214215) | |
| 171100000X Acupuncturist (Licence: CA AC15861) | |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2019-10-17 |