| NPI | 1134247158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 19258) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 4699) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |