| NPI | 1740209931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NV B01762) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 32517) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2019-05-07 |