| NPI | 1528499050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 34724) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5847) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2020-09-28 |