| NPI | 1205117009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 32109) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 4398) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2013-09-03 |