| NPI | 1033213582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 34458) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 01-04288) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2019-10-04 |