| NPI | 1306997564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA #24136) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 24136) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2008-12-02 |