| NPI | 1740585371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 31977) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5445) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2011-05-18 |