| NPI | 1497005300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 33575) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008617) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2016-08-19 |