| NPI | 1154680361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 32152) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 14903) |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2016-03-30 |