| NPI | 1598076523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CA 22099) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: CA 22099) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2010-06-24 |