| NPI | 1811995756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NV B-00468) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 21353) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2018-10-31 |