| NPI | 1225594633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 34399) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 13937) |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2023-06-22 |