| NPI | 1487966321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MT 7390) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC31625) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2023-03-21 |