NPI | 1245690353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 33501) |
Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: CA DC33501) |
Enumeration Date | 2016-03-02 |
Last Update Date | 2024-05-14 |