| NPI | 1154471654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC32832) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.009878) |
| 171100000X Acupuncturist (Licence: IL 198.000551) | |
| 171100000X Acupuncturist (Licence: CA AC17435) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-01-03 |