| NPI | 1396890430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CA 25185) |
| Additional Taxonomies | 111NX0100X Chiropractor, Occupational Health (Licence: CA 25185) |
| 111NX0800X Chiropractor, Orthopedic (Licence: CA 25185) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-08 |