| NPI | 1679769004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC28715) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC10635) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |