| NPI | 1073651600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: CA DC28022) |
| Additional Taxonomies | 111NI0900X Chiropractor, Internist (Licence: CA DC28022) |
| 111NS0005X Chiropractor, Sports Physician (Licence: CA DC28022) | |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2013-10-30 |