| NPI | 1174620215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 31044) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 6551) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-05-03 |