| NPI | 1770935454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 33706) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 17121) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2021-03-13 |