| NPI | 1306142880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 17018) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NV B 314) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-02-01 |