| NPI | 1790141448 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC33447) | 
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 33447) | 
| Enumeration Date | 2016-01-11 | 
| Last Update Date | 2024-05-02 |