| NPI | 1700081411 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: CA 27619) | 
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC7654) | 
| Enumeration Date | 2007-06-21 | 
| Last Update Date | 2013-06-27 |