| NPI | 1447776596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 33435) |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: CA 33435) |
| 111NS0005X Chiropractor, Sports Physician (Licence: CA 33435) | |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2018-07-16 |