| NPI | 1932853652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 34649) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: HI 1055) |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: CA 34649) | |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2022-02-10 |