| NPI | 1255523015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AK 417) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 27004) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2019-12-11 |