| NPI | 1184152589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 33876) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 18047) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2024-11-18 |