| NPI | 1407408743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 36450) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 251306) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2022-09-29 |