| NPI | 1700941465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MT MT-926) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC-26619) |
| Enumeration Date | 2006-12-23 |
| Last Update Date | 2010-08-19 |