| NPI | 1609073899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 29884) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC29884) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2022-07-21 |