| NPI | 1750791604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC32920) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR009287) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2023-02-14 |