| NPI | 1063869345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 33047) |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: CA 33047) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2019-07-15 |