| NPI | 1922152313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 22094) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X007166) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2012-09-05 |