| NPI | 1265633192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-2135) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC29715) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2022-10-06 |