| NPI | 1407442189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL 13249) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 34968) |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2023-08-27 |