| NPI | 1699134536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 33484) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 6163) |
| Enumeration Date | 2016-02-21 |
| Last Update Date | 2016-04-07 |