| NPI | 1528102704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: CA 11NX0800X) |
| Additional Taxonomies | 111NR0400X (Licence: CA 111NR0400X) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2010-05-03 |