| NPI | 1164694949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC30881) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 30881) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2022-02-25 |