| NPI | 1235111386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 1303) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 20728) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2013-10-10 |