| NPI | 1639406358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC 31201) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 13657) |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2017-01-13 |