| NPI | 1902989650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 26503) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC8928) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2009-11-10 |