| NPI | 1447365655 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: CA 17484) | 
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NH 263-0796) | 
| Enumeration Date | 2006-08-20 | 
| Last Update Date | 2015-09-03 |