| NPI | 1275635575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC26556) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: CA DC26556) |
| 111NS0005X Chiropractor, Sports Physician (Licence: CA DC26556) | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2016-03-17 |