| NPI | 1801099262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 3472) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 28368) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2016-11-28 |