NPI | 1346269057 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 33261) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 3679) |
171100000X Acupuncturist (Licence: CA 15819) | |
Enumeration Date | 2006-07-19 |
Last Update Date | 2019-03-06 |