| NPI | 1497022651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC 30799) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH 8539) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2013-09-27 |