NPI | 1023285103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: CA DC19751) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC19751) |
111NI0013X Chiropractor, Independent Medical Examiner (Licence: CA DC19751) | |
Enumeration Date | 2008-05-08 |
Last Update Date | 2008-05-08 |