| NPI | 1184836264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC29733) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC10824) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |