| NPI | 1477959658 |
|---|---|
| Former Name | CAITLIN SHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC36503) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NE 704) |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2022-12-16 |