| NPI | 1225006216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-1807) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 13513) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2021-03-16 |