| NPI | 1760538011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 3442) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 29659) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2024-09-30 |