| NPI | 1558428144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 21341) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: CA 21341) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2009-06-12 |