| NPI | 1649343286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 33032) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104001488) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2015-05-22 |