| NPI | 1912133919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 31258) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 13668) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2010-05-05 |