| NPI | 1548763212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 25502) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 34151) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2020-10-19 |