| NPI | 1164778254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 21816) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 2052) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-07-26 |