| NPI | 1669485264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 29982) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MD 03485) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2018-12-04 |