| NPI | 1013207604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 15661) |
| Additional Taxonomies | 111NN1001X Chiropractor Nutrition (Licence: CA 15661) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2011-04-15 |