| NPI | 1093072092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 31947) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 14752) |
| 111NN1001X Chiropractor, Nutrition (Licence: CA 31947) | |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: CA 31947) | |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2019-06-11 |