| NPI | 1194156109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 33468) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5848) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2016-02-20 |