| NPI | 1033461348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NP0017X Chiropractor Pediatric Chiropractor (Licence: CA 32499) |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation (Licence: TX 11972) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2017-02-27 |