NPI | 1316019250 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC23787) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC6400) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2008-04-14 |