| NPI | 1437579356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 32754) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 16330) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2015-08-12 |