| NPI | 1407930969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC18163) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 18163) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2013-03-28 |