| NPI | 1073899027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC29111) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC009071) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2015-08-28 |