| NPI | 1639421621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: CA 34286) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: MO 2012027709) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2018-10-17 |