| NPI | 1326319468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: RI DCP00614) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038012633) |
| 111N00000X Chiropractor (Licence: CA 32147) | |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2020-06-17 |