| NPI | 1669878799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 32916) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 16226) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2016-04-06 |