| NPI | 1124314968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 34489) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AK CHI574) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2019-03-25 |