| NPI | 1073548939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 4005) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC27119) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2018-06-16 |