| NPI | 1306086434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CA 23853) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: TX 12207) |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2019-08-07 |