| NPI | 1699099564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 32967) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MT 1209) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2014-07-16 |