| NPI | 1649656810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 36396) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 8504) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2022-09-08 |