| NPI | 1336272863 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC22669)  | 
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA DC22669)  | 
| Enumeration Date | 2007-03-13 | 
| Last Update Date | 2025-09-15 |