| NPI | 1477208577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-2295) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC36228) |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2023-02-09 |