| NPI | 1518335066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 9537864-1202) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 33303) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2020-07-02 |