| NPI | 1962497446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC28112) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-009470) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2022-07-21 |