NPI | 1407981079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC29891) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC11156) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2016-02-05 |