| NPI | 1619405727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 33898) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: CA 33898) |
| 111NN1001X Chiropractor, Nutrition (Licence: CA 33898) | |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: CA 33898) | |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2017-06-02 |