| NPI | 1619639143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC36168) |
| Additional Taxonomies | 111NP0017X Chiropractor Pediatric Chiropractor (Licence: CA DC36168) |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2024-02-19 |