| NPI | 1679763734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 71-3888) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC24425) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2010-02-25 |