| NPI | 1538564992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 33103) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: CA 33103) |
| 111NS0005X Chiropractor, Sports Physician (Licence: CA 33013) | |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2025-01-24 |