| NPI | 1043438039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC26692) |
| Additional Taxonomies | 111NR0200X Chiropractor, Radiology (Licence: CA DC26692) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2011-06-13 |