| NPI | 1366784845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 0007002) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 32549) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2018-06-21 |