| NPI | 1578507869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 28911) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 8075) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2011-09-08 |