| NPI | 1376745588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA CA28321) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: HI 930) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2007-07-08 |