| NPI | 1285952523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0400X (Licence: CA 27033) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 27033) |
| 111N00000X Chiropractor (Licence: MA 2017) | |
| 111NS0005X Chiropractor, Sports Physician (Licence: CA 27033) | |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-05-11 |