| NPI | 1194365163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 36071) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 14304) |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2021-10-29 |