| NPI | 1295246601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S03947) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 33935) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2021-12-28 |