NPI | 1396905238 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: CA 12403) |
Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: CA 12403) |
Enumeration Date | 2008-06-13 |
Last Update Date | 2014-12-30 |