| NPI | 1164080610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 36354) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 013253) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2022-10-13 |