| NPI | 1053445643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC15978) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT8944) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2013-03-06 |