| NPI | 1912257908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 32705) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH 10314) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2021-01-08 |