| NPI | 1922499821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 6050) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: HI 1279) |
| 111N00000X Chiropractor (Licence: CA 32880) | |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2020-03-17 |