| NPI | 1124533013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 5528) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 32481) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2021-05-13 |