| NPI | 1174535058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC30901) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 7020) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2017-03-22 |