| NPI | 1952037079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC36531) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NV B01956) |
| 225700000X Massage Therapist (Licence: CA 112608) | |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2023-01-22 |