| NPI | 1609128529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 23353) |
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: CA 23353) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2012-10-03 |