| NPI | 1144620519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 33038) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 16309) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-12-11 |