| NPI | 1871523613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NV B01461) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC29249) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2021-12-29 |