| NPI | 1477696649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 12269) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: HI 144) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2011-10-24 |