| NPI | 1811918410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 34108) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH DC3650) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2021-06-04 |