| NPI | 1922504745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 34707) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH DC-04803) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2020-03-03 |