| NPI | 1700122975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 32252) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 15258) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2013-09-30 |