| NPI | 1811982663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: CA DC28490) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA dc007153) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2017-04-25 |