| NPI | 1275542193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 19679) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 1708) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2022-07-25 |