| NPI | 1083091490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 33290) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 796438) |
| 111N00000X Chiropractor (Licence: NY 70012658) | |
| 163W00000X Registered Nurse (Licence: NY 22620995) | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2019-10-03 |