| NPI | 1497974893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC19460) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 220652) |
| 171100000X Acupuncturist (Licence: CA AC3589) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |