| NPI | 1720224785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 31515) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 2579) |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2020-04-14 |