| NPI | 1861764193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 31606) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 14332) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |