| NPI | 1619902798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC27563) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC8325) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2011-03-01 |