| NPI | 1952449415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC 28473) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC 009242) |
| Enumeration Date | 2007-02-04 |
| Last Update Date | 2007-07-08 |