| NPI | 1023558442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8659) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 33803) |
| Enumeration Date | 2017-03-04 |
| Last Update Date | 2019-02-13 |