| NPI | 1669644324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: CA dc 28565) |
| Additional Taxonomies | 111NR0400X (Licence: CA dc28565) |
| 111NX0800X Chiropractor, Orthopedic (Licence: CA dc 28656) | |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2020-08-14 |