| NPI | 1710311543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 32505) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC15716) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2023-06-28 |