| NPI | 1336417161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 4374) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 32146) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2020-02-20 |