| NPI | 1639562036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NV b01546) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 29919) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |