| 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 |