| NPI | 1326039207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC27791) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: CA DC27791) |
| 111NS0005X Chiropractor, Sports Physician (Licence: CA DC27791) | |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2018-12-26 |