| NPI | 1225442205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 22682) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AK 589) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2018-07-20 |