| NPI | 1700178837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 32853) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH10022) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2014-06-11 |